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General NPI Number Information
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NPI Number | 1992648141
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Entity Type | Individual
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Provider Name | CIANNA NOEMI PATRICK
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 4500B E 32ND ST
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City | JOPLIN
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State | MO
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Zip | 64804-4404
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Country | US
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Telephone | 417-530-5654
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 SWN DR STE 101
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City | CONWAY
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State | AR
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Zip | 72032-2558
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Country | US
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Telephone | 501-328-3274
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Fax | 501-328-3274
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MO
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